Active NPI
Marianna Zelenak, D.O.
- Internal Medicine Physician
- Sarasota, FL
National Provider Identifier
1174964795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- UO2610
- Practice address
- 5952 Clark Center Ave
Sarasota, FL 34238-2715 - Phone
- (941) 924-9955
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | UO2610 | FL | Primary |
Addresses
Primary practice location
5952 Clark Center Ave
Sarasota, FL 34238-2715
Mailing address
10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO2610 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CTD Network LLC | Current | Accepting new patients |
Locations
1805 James L Redman Pkwy
Ste 201
Plant City, FL 33563
Phone (305) 721-1101
1805 James L Redman Pkwy
#5412
Plant City, FL 33563
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Plant City, FL
- NPI 1851039762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1174964795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 FOREST HILL BLVD",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146103",
"telephone_number": "561-798-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5952 CLARK CENTER AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342382715",
"telephone_number": "941-924-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELENAK",
"first_name": "MARIANNA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "UO2610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.